Employee Of The Month Assesment Sheet

1 NAME OF EMPLOYEE

2 Nature / type of job assgned

3 Assessment based on

4 Observations / Ratings
Poor Excellent
1 2 3 4 5 6 7 8 9 10
4.1 On an overall basis, how was this
employee’s work performance during the
preceding assessment period?

Working relationship with supervisors,

peers, and customers during the preceding
4.2

On an overall basis and as appropriate,

how was this employee’s compliance with
workplace safety and health requirements
4.3 during the assessment period?

4.4 On an overall basis during the preceding

assessment period, how was this
employee’s performance in terms of
attendance and compliance with work
schedule, including beginning time, breaks,
lunch, and ending time?

4.5 Stays on task and devotes sufficient time,

energy, and attention to task at hand so as
to expedite resolution of issues or
completion of deliverables.

Supervises in a responsible and

reasonable manner so as to obtain
maximum cooperation and effort from
reports. Responds professionally to sudden
4.6
or unexpected changes in work
requirements.

Identifies weaknesses in personal skills set

and takes action to achieve self-
improvement Responds in a mature and
understanding manner to constructive
criticism offered by others Demonstrates
4.7
proficiency in required professional
knowledge, judgment, and self-
development

4.8 Makes necessary decisions/take necessary

actions even when those are not popular.

Demonstrates sound judgment,

critical/creative thinking, and ethical
4.9 reasoning

Tracks projects and assignments

4.11 sufficiently to be able to report status as
needed

5
5.1
5.2
5.3 Recommendation for award of Employee of the month. Fully Qualified ] Not Qualified
5.4
6 Assessed by :
Name Dept. Signature Date
6.1
6.2
6.3
6.4